Stability of employment after traumatic brain injury.
Stability of employment after traumatic brain injury.
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脑外伤后就业的稳定性。
DOI：
10.1017/s135561770505099x
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Dikmen,Sureyya
中科院分区：
文献类型：
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作者：
Machamer,Joan;Temkin,Nancy;Fraser,Robert;Doctor,JasonN;Dikmen,Sureyya
尽管关于创伤性脑损伤（TBI）后谁重返工作岗位和重返工作岗位所需时间的相关因素存在大量信息，但对创伤后工作经历的稳定性知之甚少。本文对165例重型颅脑外伤患者进行了3 ~ 5年的随访。工作稳定性的定义包括工作时间（工作时间除以受伤后观察到的时间）和一旦一个人重返工作岗位后保持不间断的工作。工作时间与脑损伤严重程度、伤后1个月的神经心理功能以及伤前特征（如先前的工作稳定性和收入）有显著和系统的关系。然而，一旦人们重返工作岗位，维持不间断就业的能力在很大程度上与发病前的特征有关，如年龄较大，受伤前的收入较高，或受伤前的工作有福利。它还与损伤后1个月较高的神经心理功能有关（反映了病前功能和创伤性脑损伤严重程度的综合影响），但与严重程度的神经学指标无关。（植物学报，2005,11,807-816）
Although substantial information exists about factors related to who returns to work and time taken to return to work after traumatic brain injury (TBI), less is known about the stability of the work experience after the injury. One hundred sixty-five workers with complicated mild to severe traumatic brain injury were followed for 3 to 5 years postinjury. Work stability definitions included amount of time worked (amount of time worked divided by time observed postinjury) and maintenance of uninterrupted employment once a person returned to work. Amount of time worked was significantly and systematically related to brain injury severity, neuropsychological functioning at 1-month postinjury, and preinjury characteristics such as prior work stability and earnings. However, once persons returned to work, the ability to maintain uninterrupted employment was largely related to premorbid characteristics such as being older, higher income before the injury, or a preinjury job with benefits. It was also related to higher neuropsychological functioning at 1-month postinjury (reflecting the combined effects of premorbid functioning and traumatic brain injury severity), but not related to neurologic indices of severity. (JINS, 2005, 11, 807–816.)